Santa Ana, California, United States · On-site
$24/hr–$37/hr
SUMMARY Under direction of the Utilization Review Technician Supervisor, the Utilization Review Technician coordinates with the Utilization Management Department while being responsible for coordinating phone calls, clin…
Skills: Utilization Review, Medical Insurance Plans, Data Entry, Medical Billing, Microsoft Excel
Hemet, California, United States · On-site
$42/hr–$58/hr
Position Summary: We are seeking compassionate and skilled Registered Nurses (RNs) to join our patient-centered team. Under supervision, the RN provides direct and indirect patient care services in an acute care and/or n…
Skills: Patient Care, Care Coordination, Electronic Medical Records, Medication Administration, Emergency Response
Orange, California, United States · On-site
$23/hr–$27/hr
SUMMARY: Certified Phlebotomy Tech follows proper procedure in specimen collection; identifying the patient, collection of specimen, correct labeling of the specimen, transporting the specimen and ensuring receipt of the…
Skills: Specimen Collection, Venous Puncture, Capillary Puncture, Patient Identification, Specimen Labeling
Victorville, California, United States · On-site
$61/hr–$92/hr
JOB TITLE: Nurse Practitioner REPORTS TO: CEO POSITION SUMMARY: The Nurse Practitioner is a skilled member of the allied health care team who is expected to practice at the highest level of their licensure. They will wor…
Skills: Acute Care, Patient Education, Patient Admissions, Discharge Planning, Collaborative Care
Victorville, California, United States
$44/hr–$69/hr
JOB TITLE: Staff RN Medical/Surgical Units REPORTS TO: Manager/Director of Medical/Surgical Inpatient Services POSITION SUMMARY: Provides professional nursing care by utilizing the nursing process to care for patients. C…
Santa Ana, California, United States · On-site
The Cook coordinates production activities with food service personnel in the preparation of food and in maintenance of food service regulations, including standards of quality, temperature, safety and sanitation. Prepar…
Skills: Quantity Cooking, Therapeutic Diets, Food Safety, Sanitation Standards, Recipe Scaling
Menifee, California, United States · On-site
Position Summary: We are seeking compassionate and skilled Registered Nurses (RNs) to join our patient-centered team. Under supervision, the RN provides direct and indirect patient care services in an acute care and/or n…
Skills: Patient Care, Care Coordination, Electronic Medical Records, Medication Administration, Emergency Response
Hemet, California, United States · On-site
$50/hr–$73/hr
Position Summary: We are seeking compassionate and skilled Registered Nurses (RNs) to join our patient-centered team. Under supervision, the RN provides direct and indirect patient care services in an acute care and/or n…
Skills: Patient Care, Care Coordination, Electronic Medical Records, Medication Administration, Emergency Response
Menifee, California, United States · On-site
$48/hr–$70/hr
Position Summary: We are seeking compassionate and skilled Registered Nurses (RNs) to join our patient-centered team. Under supervision, the RN provides direct and indirect patient care services in an acute care and/or n…
Skills: Patient Care, Care Coordination, Electronic Medical Records, Medication Administration, Emergency Response
Santa Ana, California, United States · On-site
$23/hr–$26/hr
The Food Service Worker I (Dishwasher) must have general concept of proper dishwashing technique utilizing high temperature machine. Must be able to work efficiently and effectively in fast paced environment. Possess gen…
Skills: Dishwashing, High Temperature Machine Operation, Warewashing, Three-Compartment Sink Operation, Efficiency
Hemet, California, United States · On-site
$23/hr–$26/hr
POSITION SUMMARY General Purpose: The Grill/Prep Cook performs a variety of duties in the preparation of various food products. Prepares, seasons and cooks food for hospital patients, employees and visitors. Essential (P…
Skills: Frying, Grilling, Sautéing, Food Preparation, Recipe Following
Orange, California, United States · On-site
$33/hr–$39/hr
The posted pay scale represents the range the Company reasonably expects to pay candidates for this position. The actual wage for this position may depend on factors such as experience and education, specific skills and …
Skills: Respiratory Therapy, Patient Care, BLS, ACLS, PALS
Anaheim, California, United States · On-site
$23/hr–$26/hr
The Food Service Worker I (Dishwasher) must have general concept of proper dishwashing technique utilizing high temperature machine. Must be able to work efficiently and effectively in fast paced environment. Possess gen…
Skills: Dishwashing, High Temperature Machine Operation, Warewashing, Three-Compartment Sink Operation, Efficiency
On-site
$23/hr–$26/hr
The Food Service Worker I (Dishwasher) must have general concept of proper dishwashing technique utilizing high temperature machine. Must be able to work efficiently and effectively in fast paced environment. Possess gen…
Skills: Dishwashing, High Temperature Machine Operation, Warewashing, Three-Compartment Sink Operation, Efficiency
On-site
$50/hr–$74/hr
The Registered Nurse delivers professional nursing care to the patient whose needs range from uncomplicated to highly complex. Establishes a helping relationship using a holistic approach. The RN ensures quality and appr…
Skills: Professional Nursing Care, Holistic Care, Care Planning, Patient Assessment, Clinical Coordination
Santa Ana, California, United States · On-site
$50/hr–$74/hr
The Registered Nurse delivers professional nursing care to the patient whose needs range from uncomplicated to highly complex. Establishes a helping relationship using a holistic approach. The RN ensures quality and appr…
Skills: Professional Nursing Care, Holistic Care, Care Planning, Patient Assessment, Clinical Coordination
Anaheim, California, United States · On-site
The Registered Nurse delivers professional nursing care to the patient whose needs range from uncomplicated to highly complex. Establishes a helping relationship using a holistic approach. The RN ensures quality and appr…
Skills: Professional Nursing Care, Holistic Care, Care Planning, ICU Nursing, Patient Assessment
Anaheim, California, United States · On-site
$38/hr–$44/hr
This position demonstrates proficiency for patient preparation for all procedures performed in the Cath Lab including assisting physicians with scrubbing and maintaining sterile technique. Recognizes and responds timely …
Skills: Patient Preparation, Sterile Technique, Emergency Response, Cardiovascular Techniques, Patient Communication
Anaheim, California, United States · On-site
$38/hr–$44/hr
This position demonstrates proficiency for patient preparation for all procedures performed in the Cath Lab including assisting physicians with scrubbing and maintaining sterile technique. Recognizes and responds timely …
Skills: Patient Preparation, Sterile Technique, Cardiovascular Techniques, Emergency Response, Clinical Monitoring
On-site
The Registered Nurse delivers professional nursing care to the patient whose needs range from uncomplicated to highly complex. Establishes a helping relationship using a holistic approach. The RN ensures quality and appr…
Skills: Professional Nursing Care, Holistic Care, Care Planning, Acute Care, Patient Assessment
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The Utilization Review Technician coordinates clinical requests, authorizations, and denials between the Utilization Management Department and insurance providers. They are responsible for maintaining patient charts, tracking insurance data, and performing general administrative duties to ensure accurate reimbursement.
Candidates must have a high school diploma and are preferred to have healthcare experience and knowledge of medical terminology. Proficiency in Microsoft Office and the ability to type at least 50 words per minute are required.
SUMMARY
Under direction of the Utilization Review Technician Supervisor, the Utilization Review Technician coordinates with the Utilization Management Department while being responsible for coordinating phone calls, clinical requests, upkeeps data entry, organizes denials and mailing/faxing appeals, tracking data from various insurance providers and health plans regarding authorization and/or denials, expedite reviews and documentation to insurance providers. Monitors patient charts and records to provide to responsible parties and request for authorization for hospital admission. Reviews treatment plans and status of approvals from insurers. Collects and compiles data as required and according to applicable policies and regulations. Performs administrative duties for the Utilization Management Department, and directed in several aspects of duties. Position is non-RN/LVN.
REQUIREMENTS
EDUCATION & EXPERIENCE REQUIREMENTS:
SKILLS & ABILITIES REQUIREMENTS:
PHYSICAL REQUIREMENTS:
Working Environment:
Enjoy Life in Great Health
The KPC Health is a global leader in healthcare, pharmaceuticals, education, engineering and real estate. Originally founded by world-renowned orthopedic surgeon and entrepreneur, Dr. Kali Chaudhuri, the KPC Group has reached an unprecedented level of success through its vision, innovation, and leadership. Today, the KPC Group has amassed over $10 billion in assets, including hospitals, clinics, schools, commercial real estate properties, and agricultural research centers. As pioneers in technology for the healthcare industry the KPC Group healthcare division, KPC Health, has successfully established a group of integrated healthcare delivery systems consisting of acute care hospitals, Independent Physicians Associations (IPAs), medical groups, urgent care facilities, and various fully integrated multi-specialty medical facilities throughout the western United States. Our California facilities include: Anaheim Global Medical Center Chapman Global Medical Center Hemet Valley Medical Center Menifee Valley Medical Center Orange County Global Medical Center South Coast Global Medical Center Victor Valley Global Medical Center Our facilities collectively serve some of California’s most densely populated areas in the Southern California region – totaling nearly ten million people. KPC Health has invested nearly $100 million in the latest information technology transforming one of the oldest hospital systems in the United States into a state of the art healthcare operation with an advanced Electronic Medical Records system. Most importantly, we have invested in our people. KPC Health attributes its overall successes to the highly skilled, advanced trained, expert physicians, nurses, information technology specialists and staff. Investing in having the very best workforce has enabled KPC Health to maximize its technological capabilities to best serves its patients, their families and the communities its hospitals and medical institutions it serves. As community hospitals dedicated to the health and welfare of each and every community we serve, we are investing in a number of non-profit and charity-based organizations, including the American Heart Association, March of Dimes for healthy babies, and Caterina’s Club for feeding hungry children. We believe our involvement in the promotion of these programs is crucial to serving our communities. For us, healthcare is not just about caring for our patients, but also about investing in the people of Orange County. Our mission is to ensure everyone we encounter enjoys life in great health.
Offices: 1301 N Tustin Ave, Santa Ana, California 92705, US · 2601 E Chapman Ave, Orange, California 92869, US · 1001 N Tustin Ave, Santa Ana, California 92705, US · 28400 McCall Blvd, Menifee, California, US · 2701 S Bristol St, Santa Ana, California 92704, US
Enjoy Life in Great Health
The KPC Health is a global leader in healthcare, pharmaceuticals, education, engineering and real estate. Originally founded by world-renowned orthopedic surgeon and entrepreneur, Dr. Kali Chaudhuri, the KPC Group has reached an unprecedented level of success through its vision, innovation, and leadership. Today, the KPC Group has amassed over $10 billion in assets, including hospitals, clinics, schools, commercial real estate properties, and agricultural research centers. As pioneers in technology for the healthcare industry the KPC Group healthcare division, KPC Health, has successfully established a group of integrated healthcare delivery systems consisting of acute care hospitals, Independent Physicians Associations (IPAs), medical groups, urgent care facilities, and various fully integrated multi-specialty medical facilities throughout the western United States. Our California facilities include: Anaheim Global Medical Center Chapman Global Medical Center Hemet Valley Medical Center Menifee Valley Medical Center Orange County Global Medical Center South Coast Global Medical Center Victor Valley Global Medical Center Our facilities collectively serve some of California’s most densely populated areas in the Southern California region – totaling nearly ten million people. KPC Health has invested nearly $100 million in the latest information technology transforming one of the oldest hospital systems in the United States into a state of the art healthcare operation with an advanced Electronic Medical Records system. Most importantly, we have invested in our people. KPC Health attributes its overall successes to the highly skilled, advanced trained, expert physicians, nurses, information technology specialists and staff. Investing in having the very best workforce has enabled KPC Health to maximize its technological capabilities to best serves its patients, their families and the communities its hospitals and medical institutions it serves. As community hospitals dedicated to the health and welfare of each and every community we serve, we are investing in a number of non-profit and charity-based organizations, including the American Heart Association, March of Dimes for healthy babies, and Caterina’s Club for feeding hungry children. We believe our involvement in the promotion of these programs is crucial to serving our communities. For us, healthcare is not just about caring for our patients, but also about investing in the people of Orange County. Our mission is to ensure everyone we encounter enjoys life in great health.
Offices: 1301 N Tustin Ave, Santa Ana, California 92705, US · 2601 E Chapman Ave, Orange, California 92869, US · 1001 N Tustin Ave, Santa Ana, California 92705, US · 28400 McCall Blvd, Menifee, California, US · 2701 S Bristol St, Santa Ana, California 92704, US
